diff --git a/public/js/clinicalAssistant.js b/public/js/clinicalAssistant.js
index 2a25e8d..f111913 100644
--- a/public/js/clinicalAssistant.js
+++ b/public/js/clinicalAssistant.js
@@ -123,7 +123,7 @@ import { escapeAttr, escapeHtml, renderAssistantMarkdown } from './assistant/cit
     setBusy(true, 'Looking up sources...');
     var loading = appendLoadingMessage('Looking up sources', 'Retrieving and synthesizing references...');
 
-    fetchAssistantResponse({
+    streamAssistantResponse({
       message: text,
       history: messages.slice(-8),
       includeContext: !includeContext || includeContext.checked
@@ -149,6 +149,106 @@ import { escapeAttr, escapeHtml, renderAssistantMarkdown } from './assistant/cit
     }
   }
 
+  async function streamAssistantResponse(payload, loading) {
+    var response = await fetch('/api/clinical-assistant/chat/stream', {
+      method: 'POST',
+      headers: getAuthHeaders(),
+      credentials: 'same-origin',
+      body: JSON.stringify(payload)
+    });
+    if (!response.ok || !response.body) {
+      var fallback = await response.json().catch(function () { return {}; });
+      throw new Error(fallback.error || ('Request failed (' + response.status + ')'));
+    }
+
+    var partial = '';
+    var streamSources = [];
+    var finalData = null;
+    var lastRender = 0;
+    var bubble = loading ? loading.querySelector('.assistant-bubble') : null;
+    var decoder = new TextDecoder();
+    var buffer = '';
+
+    function renderProvisional(force) {
+      var now = Date.now();
+      if (!force && now - lastRender < 180) return;
+      lastRender = now;
+      if (!bubble) return;
+      loading.classList.remove('assistant-loading-msg');
+      bubble.classList.remove('assistant-thinking');
+      bubble.innerHTML = partial ? renderAssistantBubbleHtml(partial, streamSources, false) : '<p class="assistant-muted">Generating answer...</p>';
+      renderEmbeddedBlocks(bubble);
+      var wrap = document.getElementById('assistant-messages');
+      if (wrap) wrap.scrollTop = wrap.scrollHeight;
+    }
+
+    function handleEvent(type, data) {
+      if (type === 'status') {
+        updateLoadingMessage(loading, data.message || 'Working...');
+        return;
+      }
+      if (type === 'sources') {
+        streamSources = data.sources || [];
+        renderSources(streamSources);
+        return;
+      }
+      if (type === 'token') {
+        partial += data.token || '';
+        renderProvisional(false);
+        return;
+      }
+      if (type === 'done') {
+        finalData = data || {};
+        return;
+      }
+      if (type === 'error') throw new Error(data.error || 'Assistant stream failed');
+    }
+
+    var reader = response.body.getReader();
+    while (true) {
+      var chunk = await reader.read();
+      if (chunk.done) break;
+      buffer += decoder.decode(chunk.value, { stream: true });
+      var parts = buffer.split('\n\n');
+      buffer = parts.pop() || '';
+      parts.forEach(function (part) {
+        var parsed = parseSseEvent(part);
+        if (parsed) handleEvent(parsed.type, parsed.data);
+      });
+    }
+    if (buffer.trim()) {
+      var tail = parseSseEvent(buffer);
+      if (tail) handleEvent(tail.type, tail.data);
+    }
+
+    if (!finalData) {
+      updateLoadingMessage(loading, 'Stream ended early. Retrying without streaming...');
+      finalData = await fetchAssistantFallback(payload);
+    }
+
+    setBusy(false, 'Ready');
+    lastAnswer = finalData.answer || finalData.markdown || '';
+    lastSources = finalData.sources || finalData.citations || streamSources;
+    replaceLoadingMessage(loading, lastAnswer, lastSources, finalData.suggestions || []);
+    renderSources(lastSources);
+    if (finalData.model) {
+      var label = document.getElementById('assistant-model-label');
+      if (label) label.textContent = 'Chat: ' + finalData.model;
+    }
+  }
+
+  function parseSseEvent(block) {
+    var type = 'message';
+    var data = '';
+    String(block || '').split(/\r?\n/).forEach(function (line) {
+      if (line.indexOf('event:') === 0) type = line.substring(6).trim();
+      if (line.indexOf('data:') === 0) data += line.substring(5).trim();
+    });
+    if (!data) return null;
+    try { return { type: type, data: JSON.parse(data) }; }
+    catch (e) { return null; }
+  }
+
   async function fetchAssistantFallback(payload) {
     var response = await fetch('/api/clinical-assistant/chat', {
       method: 'POST',
diff --git a/src/routes/clinicalAssistant.js b/src/routes/clinicalAssistant.js
index 04f6871..dc36fd3 100644
--- a/src/routes/clinicalAssistant.js
+++ b/src/routes/clinicalAssistant.js
@@ -10,7 +10,7 @@ var axios = require('axios');
 var router = express.Router();
 var db = require('../db/database');
 var { authMiddleware } = require('../middleware/auth');
-var { callAI } = require('../utils/ai');
+var { callAI, callAIStream } = require('../utils/ai');
 var { gatewayUrl } = require('../utils/errors');
 var logger = require('../utils/logger');
 var cryptoUtil = require('../utils/crypto');
@@ -273,6 +273,77 @@ router.post('/clinical-assistant/chat', async function(req, res) {
   }
 });
 
+router.post('/clinical-assistant/chat/stream', async function(req, res) {
+  var started = Date.now();
+  var streamOpen = false;
+  function sendEvent(type, data) {
+    if (!streamOpen) return;
+    res.write('event: ' + type + '\n');
+    res.write('data: ' + JSON.stringify(data || {}) + '\n\n');
+  }
+
+  try {
+    res.setHeader('Content-Type', 'text/event-stream; charset=utf-8');
+    res.setHeader('Cache-Control', 'no-cache, no-transform');
+    res.setHeader('Connection', 'keep-alive');
+    if (typeof res.flushHeaders === 'function') res.flushHeaders();
+    streamOpen = true;
+    sendEvent('status', { message: 'Looking up sources...' });
+
+    var prepared = await prepareAssistantChat(req.body);
+    if (prepared.direct) {
+      sendEvent('done', Object.assign({ duration: Date.now() - started }, prepared.direct));
+      return res.end();
+    }
+
+    var safeSources = sanitizeSourcesForClient(prepared.sources);
+    sendEvent('sources', { sources: safeSources, search: prepared.search });
+    sendEvent('status', { message: 'Generating answer...' });
+
+    var ai = await callAIStream(prepared.messages, {
+      model: prepared.chatModel || undefined,
+      temperature: 0.15,
+      maxTokens: 2600
+    }, function(delta) {
+      sendEvent('token', { token: delta });
+    });
+
+    var answer = stripModelSourcesSection(String(ai.content || '').trim());
+    if (shouldRegenerateTruncatedAnswer(answer, ai.finishReason)) {
+      console.warn('[clinical-assistant] streamed answer looked truncated; regenerating final answer', { finishReason: ai.finishReason, chars: answer.length });
+      sendEvent('status', { message: 'Completing answer...' });
+      var completed = await callAI(prepared.messages, {
+        model: prepared.chatModel || undefined,
+        temperature: 0.15,
+        maxTokens: 5000
+      });
+      answer = stripModelSourcesSection(String(completed.content || '').trim()) || answer;
+      ai.model = completed.model || ai.model;
+      ai.provider = completed.provider || ai.provider;
+      ai.finishReason = completed.finishReason || ai.finishReason;
+    }
+
+    logger.audit(req.user.id, 'clinical_assistant_query', 'Clinical assistant streaming query', req, {
+      category: 'clinical', model: ai.model || prepared.chatModel, duration: Date.now() - started
+    });
+    sendEvent('done', {
+      success: true,
+      answer: answer,
+      sources: safeSources,
+      model: ai.model || prepared.chatModel || null,
+      provider: ai.provider || null,
+      duration: Date.now() - started,
+      search: prepared.search
+    });
+    res.end();
+  } catch (e) {
+    console.error('[clinical-assistant stream]', e.message, e.stack || '');
+    if (!streamOpen) return res.status(e.statusCode || 500).json({ error: assistantErrorMessage(e) });
+    sendEvent('error', { error: assistantErrorMessage(e) });
+    res.end();
+  }
+});
+
 router.post('/clinical-assistant/image', async function(req, res) {
   try {
     var prompt = String(req.body.prompt || '').trim();
diff --git a/src/utils/ai.js b/src/utils/ai.js
index 8555f85..d38589e 100644
--- a/src/utils/ai.js
+++ b/src/utils/ai.js
@@ -417,6 +417,52 @@ async function assertModelAllowed(requestedModel, options) {
   }
 }
 
+async function callAIStream(messages, options, onToken) {
+  options = options || {};
+  var requestedModel = options.model;
+  var model = requestedModel || DEFAULT_MODEL;
+  var temperature = options.temperature || 0.3;
+  var maxTokens = options.maxTokens || 4000;
+  var startTime = Date.now();
+  await assertModelAllowed(requestedModel, options);
+
+  var client = null;
+  var provider = null;
+  if (activeProvider === 'litellm' && litellmClient) {
+    client = litellmClient;
+    provider = 'litellm';
+  } else if (activeProvider === 'openrouter' && openrouter) {
+    client = openrouter;
+    provider = 'openrouter';
+  } else if (activeProvider === 'azure' && azureClient) {
+    client = azureClient;
+    provider = 'azure';
+    model = process.env.AZURE_DEPLOYMENT_NAME || model;
+  }
+  if (!client) throw new Error('Streaming is only configured for OpenAI-compatible providers');
+
+  var content = '';
+  var finishReason = null;
+  var stream = await client.chat.completions.create({
+    model: model,
+    messages: messages,
+    temperature: temperature,
+    max_tokens: maxTokens,
+    stream: true
+  });
+  for await (var part of stream) {
+    var choice = part && part.choices && part.choices[0] ? part.choices[0] : null;
+    if (choice && choice.finish_reason) finishReason = choice.finish_reason;
+    var delta = choice && choice.delta ? choice.delta.content : '';
+    if (!delta) continue;
+    content += delta;
+    if (typeof onToken === 'function') onToken(delta);
+  }
+  var duration = Date.now() - startTime;
+  logger.apiCall(null, provider + '/' + model, { model: model, duration: duration, statusCode: 200 });
+  return { success: true, content: content, model: model, provider: provider, duration: duration, finishReason: finishReason };
+}
+
 // ============================================================
 // MAIN CALL AI FUNCTION — Routes to correct provider
 // ============================================================
@@ -637,4 +683,4 @@ async function discoverModels() {
   return discovered;
 }
 
-module.exports = { callAI, whisperClient, activeProvider, discoverModels, vertexClient, litellmClient };
+module.exports = { callAI, callAIStream, whisperClient, activeProvider, discoverModels, vertexClient, litellmClient };